| NPI | 1275890964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NH 24480) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207T00000X Neurological Surgery (Licence: NJ 25MB09972300) | |
| 207T00000X Neurological Surgery (Licence: PA OS018733) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2025-12-16 |